Risk for Unplanned Pregnancy Among Survivors of Childhood Cancer

The purpose of this study was to identify factors associated with risk for unplanned pregnancy in sexually active female survivors using self-report survey data. Risk for unplanned pregnancy was defined as using less effective/no contraception while also not desiring pregnancy. Of N = 160 participants (age 24.0 ± 3.1 years), 33.1% were at-risk for unplanned pregnancy. On multivariable analysis, participants were less likely to be categorized at-risk for unplanned pregnancy if they reported diagnosis of ovarian failure/premature menopause (odds ratio [OR] 0.16, 95% confidence interval [CI] 0.02–0.72, p = 0.032), greater concerns about fertility (OR 0.59, 95%CI 0.43–0.80, p = 0.001), and religious identity of agnostic/atheist (compared with Christian, OR 0.10, 95%CI 0.01–0.41, p = 0.005).